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RIDDOR Procedure - University of Leeds

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RIDDOR Procedure - University of Leeds ...

THE LEEDS TEACHING HOSPITALS NHS TRUST

    REPORTING OF INJURIES, DISEASES AND

    DANGEROUS OCCURRENCES REGULATIONS

    (RIDDOR)

    POLICY AND GUIDANCE.

1. INDEX CONTENTS.

    Section Topic Page

    1. INDEX 2

    2. INTRODUCTION 3

    3. POLICY STATEMENT 4

    4. POLICY EFFECT 4

    5. EQUALITY & DIVERSITY STATEMENT 6

    6. TYPES OF REPORTABLE INCIDENTS: 6

     Over 3 day incapacity

     Major Injuries

     Dangerous Occurrences

     Work Related Diseases

    7. ACCIDENTS WHICH ARE NOT 8

     REPORTABLE

    8. ADDITIONAL TRUST LINKED 9

     POLICIES

    9. CONTACT POINTS FOR THE HSE 9

    10. ADVICE AND GUIDANCE 10

    Appendix One Major Injury categories 11

    Appendix Two Dangerous Occurrence categories 12

    Appendix Three Notifiable Disease Categories 13

    .

     2 RIDDOR Policy Revised 01/12/06

2. INTRODUCTION

The Trust is required to comply fully with the Reporting of Injuries Diseases

    and Dangerous Occurrences Regulations 1995 by notifying the Health and

    Safety Executive of all accidents and events which fall under the relevant

    categories within the stated time lapse and keeping a register of all incidents

    which have been reported.

This policy interprets the Regulations with the aim of ensuring managers

    within the Trust know their duties and responsibilities and providing

    procedural arrangements to ensure full compliance.

The Reporting of Injuries, Diseases and Dangerous Occurrences Regulations

    1995 (RIDDOR) places a legal duty on all employers to report certain types of

    events and injuries sustained by staff, patients or visitors to the Health and

    Safety Executive.

The Regulations apply to death or injuries resulting from accidents, instances

    of disease or dangerous occurrences which arise out of or in connection with

    work activities.

The requirement to report significant workplace accidents and ill health to the

    enforcing authority (HSE) enables them to undertake their own investigations

    in order to establish that the employer has fully complied with their legal duties.

Information from RIDDOR reports is also used to evaluate the effectiveness of

    current health and safety legislation and identify the need for revisions and

    new legal requirements.

The Regulations requires the following work-related incidents to be reported:

    ? Deaths

    ? Major Injuries

    ? Over 3 day injuries where an employee is away from work or unable

    to work normally for more than 3 consecutive days

    ? Injuries to members of the public or people not at work where they are

    taken from the scene of an accident to hospital

    ? Some work-related diseases

    ? Dangerous Occurrences

    ? Dangerous Gas Fittings (for registered CORGI gas fitters only)

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    RIDDOR Policy Revised 01/12/06

3. POLICY STATEMENT

The Leeds Teaching Hospitals NHS Trust recognises its responsibilities in

    ensuring compliance with the Reporting of Injuries, Diseases and Dangerous

    Occurrences Regulations(RIDDOR)1995.

This policy sets out the Trust’s management arrangements for ensuring that

    we do comply and provides specific guidance on the Regulations.

4. POLICY EFFECT

The Trust Health and Safety Policy details the general organisational

    responsibilities for the management of health and safety.

4.1 Chief Executive

The Trust Chief Executive is responsible for the effective and efficient

    management of health and safety within the Trust ; however the responsibility

    for the action and development of this policy is delegated to the Medical

    Director.

4.2 Medical Director

The Medical Director has delegated responsibility from the Chief Executive to

    identify and develop the following elements:

    ? Development of the policy including consultation.

    ? Providing information and guidance for the RIDDOR Regulations.

    ? The provision of suitable and sufficient competent health and safety

    advice to all parts of the Trust on the content of the policy.

4.3 Heads of CMT’s and Other Service Heads

    ? To ensure the effective operation of this policy in all areas under their

    control; and that staff are trained and competent in their roles to

    achieve full compliance with RIDDOR.

    ? To ensure the maintenance of adequate records of RIDDOR incidents

    and other supporting documentation.

    ? To ensure incidents are thoroughly investigated and remedial actions

    are taken to prevent re-occurrence.

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    RIDDOR Policy Revised 01/12/06

    4.4 Matrons and Department Heads

? To ensure that the verbal and written communication required by

    RIDDOR is forwarded to the HSE Incident Centre.

? To ensure that the Head of Health and Safety is provided with a copy

    of all completed RIDDOR Forms.

? To ensure the Head of Health and Safety is informed immediately by

    telephone of any major injury or dangerous occurrences as categorised

    in the Regulations.

    4.5 Ward Sisters and Department Managers

    ? To ensure that all staff in their area of responsibility are made aware of

    the need to promptly and accurately report all accidents and incidents.

? To inform Matrons and Heads of Departments of all RIDDOR

    reportable accidents and dangerous occurrences.

? To ensure that the Trust Procedure Poster* is displayed in all wards

    and departments in their area(s) of responsibility.

    ? If reasonably practicable to do so, will ensure sites of any notifiable

    accident or dangerous occurrence are left undisturbed pending formal

    inspection or investigation by Trust Senior Managers/HSE Inspectors.

    * Riddor Poster is available from the Health and Safety department

    4.5 All Staff

? Will ensure that their manager is immediately made aware of any

    significant accident or incident.

? Complete as soon as possible the Trusts incident report form.

    4.6 Head of Estates (Dangerous Occurrences).

? Will ensure all verbal and written notifications for dangerous

    occurrences as defined in the Regulations is completed and forwarded

    to the HSE

? Will ensure that if reasonably practicable to do so, sites of any

    notifiable accident or dangerous occurrence are left undisturbed

    pending formal inspection by HSE Inspectors.

    ? Ensure that the Head of Health and Safety is immediately informed of

    any dangerous occurrences and is forwarded a copy of completed 5 F2508 forms. RIDDOR Policy Revised 01/12/06

4.7 Head of Health and Safety

    ? Prepares, publishes and communicates the policy and guidance to

    ensure understanding and compliance with the RIDDOR Regulations.

    ? Maintains a record of all reported RIDDOR incidents and uses the

    collected information to review the Trusts Management systems.

4.8 Occupational Health Department

    ? Will provide information and guidance to managers prior to them

    notifying the HSE of any specified reportable diseases which have

    been professionally diagnosed by a medical practitioner.

    ? Advise managers on the completion of RIDDOR documentation for

    reportable diseases and of other actions which need to be taken.

5. EQUALITY AND DIVERSITY STATEMENT

The Leeds Teaching Hospitals NHS Trust is committed to ensuring that as far

    as is reasonably practicable, the way services are provided to the public and

    the way staff are treated, reflect their individual needs and does not

    discriminate against individuals or groups on any grounds.

6. TYPES OF INCIDENTS REQUIRING NOTIFICATION TO THE HSE

6.1 Over Three Day Incapacity for Work

This category applies to staff employed by the Trust only.

If a member of staff sustains an injury whilst at work and suffers a period of

    incapacity greater than three days, (this relates to working and non working

    days), or if the employee returns to work and is unable to carry out their

    normal duties then the RIDDOR Regulations apply and you must complete

    Form F2508* and send to the HSE Incident Contact Centre and send a copy

    to the Trust Head of Health and Safety within 10 days of the incident taking

    place.

*

    F2508 forms available on the Health and Safety Intranet

6.2 Major Injuries

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    RIDDOR Policy Revised 01/12/06

This category applies to staff, patients and visitors.

These are specific injuries as defined within the Regulations and include the

    more serious injuries sustained by staff patients and visitors. Examples

    include:

    ? Fatalities

    ? Any fracture other than to the fingers, thumbs or toes.

    ? Any amputation

    ? Dislocation of the shoulder, hip, knee or spine

    ? Major injuries caused by physical violence

    ? Any injury requiring admittance to hospital for more than 24 hours.

A complete list of major injuries can be found in appendix three.

Should a major injury be sustained then this must be reported by telephone as

    soon as possible to the HSE Incident Contact Centre and the Trust Head of

    Health and Safety and also reported in writing using the form F2508 with a

    copy forwarded to the Head of Health and Safety.

6.3 Dangerous Occurrences

These are events defined by the Regulations which may or may not have

    resulted in injury.

Most of the dangerous occurrence categories relate to buildings, equipment

    and services and as a result means that it will usually be the responsibility of

    the Estates Department to report. Examples include:-

    ? Fire caused by electrical short circuit.

    ? Gas incidents

    ? Failure of a pressure vessel.

Dangerous Occurrences which may apply to wards and other departments

    include:

    ? The failure of any load bearing part of lifting equipment, e g patient

    hoists

    ? The accidental release of a biological agent likely to cause harm, e g

    needle stick injury from a known Hepatitis B patient.

A summary list of dangerous occurrences can be found in appendix Two

A dangerous occurrence must be reported to the HSE Contact Centre by

    telephone as soon as possible following the incident, followed by completion

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    RIDDOR Policy Revised 01/12/06

    of form F2508 which you must send to the Incident Centre and forward a copy to the Head of Health and Safety.

     Following what may be a dangerous occurrence you should immediately

    contact the Head of Estates and the Head of Health and Safety who will advise on further actions. In all events if practicable, the scene and all associated equipment must be left undisturbed pending formal investigation.

6.4 Reportable Diseases

This category applies only to staff only.

Certain health conditions associated with an individuals occupation must be Form F2508A is available on the Health and Safety Intranet pages reported to the HSE Incident Contact Centre using *Form F2508A A work related disease should be reported if:- *

    ? It has been diagnosed in writing by a doctor; and

    ? The person concerned is currently employed in an associated work

    activity.

    A report of a disease will not necessarily signify that it was caused by work: it will mean that the person affected works in a job where in general the disease is likely to have an occupational origin.

Examples of reportable diseases include:

    ? Hand- Arm Vibration or Carpal Tunnel Syndrome

    ? Hepatitis

    ? Legionellosis

Please see appendix three for further examples.

    If an employee has a confirmed diagnosis in writing by a doctor, you should immediately contact the Trust Occupational Health Department for advice on further actions to take before completing RIDDOR forms and/or contacting

    the HSE Incident Centre.

7. ACCIDENTS WHICH ARE NOT REPORTABLE

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    RIDDOR Policy Revised 01/12/06

Accidents arising directly from the conduct of an operation, examination or

    other medical treatment or accidents which arise solely from the medical

    condition of the injured person are not reportable, neither are suicides, for

    example:

    ? A confused patient who falls from a window on an upper level or a

    patient who is scalded by hot bath water is reportable:

    ? A frail elderly patient falls and breaks her leg, there are no obstructions

    or defects which contributed to her fall or a patient commits suicide is

    not reportable.

    Please see HSE Information sheet Guidance for the Healthcare Sector on the Health and Safety Intranet pages

8. ADDITIONAL LINKED TRUST POLICIES

Please ensure that where relevant, the following Trust policies are complied

    with:

    ? Incident Reporting Policy

    ? Serious Untoward Incident Policy

    ? Reporting Adverse Incidents Relating to Medical Devices

The above policies and procedures can be found on the Trusts Intranet site or

    further guidance can be obtained from The Trusts Risk Management

    Department.

    9. CONTACT POINTS FOR THE HSE

Postal: Incident Contact Centre

     Caerphilly Business Centre

     Caerphilly

     CF83 3GG.

    Internet: www.riddor.gov.uk

Telephone: 0845 300 99 23

Fax: 0845 300 99 24

    E-mail: riddor@natbrit.com

10. ADVICE AND GUIDANCE

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    RIDDOR Policy Revised 01/12/06

Please contact the Health and Safety Department (ext. 26063 or 25727)

    should you require any further information or assistance.

For guidance on the Trusts Incident Reporting Procedure or Serious

    Untoward Incident Policy please contact the Risk Management Department

    (ext 66992 or 64598).

Occupational Health Department will advise on work related diseases( ext

    65374)

    APPENDIX ONE

     10 RIDDOR Policy Revised 01/12/06

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